Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $345.39 / $771.37	Facility		$230.15	$345.39	$771.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.26 / $279.07	Professional		$230.15	$230.26	$279.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.56 / $575.01 / $2,580.46	Facility		$213.56	$575.01	$2,580.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Facility		$230.15	$230.15	$230.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $268.32 / $573.74	Professional		$184.12	$268.32	$573.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $299.20 / $299.20	Professional		$299.20	$299.20	$299.20
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $252.32	Professional		$230.15	$230.15	$252.32